SMILES DENTAL GROUP, PC
NPI: 1285093385
· LONGVIEW, WA 98632
· 1223D0004X
$371K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15,235 |
$343K |
| 2021 |
1,643 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
990 |
615 |
$60K |
| D0120 |
|
2,011 |
2,002 |
$43K |
| D1120 |
|
1,527 |
1,514 |
$33K |
| D7240 |
|
225 |
62 |
$33K |
| D2391 |
|
639 |
397 |
$31K |
| D1206 |
|
1,985 |
1,972 |
$26K |
| D1110 |
|
737 |
737 |
$25K |
| D0272 |
|
1,881 |
1,873 |
$19K |
| D0220 |
|
2,268 |
2,243 |
$18K |
| D1351 |
|
866 |
294 |
$17K |
| D9243 |
|
200 |
66 |
$13K |
| D0150 |
|
236 |
233 |
$8K |
| D7140 |
|
136 |
67 |
$8K |
| D2393 |
|
107 |
81 |
$7K |
| D3330 |
|
13 |
12 |
$7K |
| D0230 |
|
2,303 |
2,118 |
$6K |
| D0330 |
|
114 |
112 |
$4K |
| D0140 |
|
161 |
158 |
$3K |
| D9239 |
|
51 |
51 |
$3K |
| D9920 |
|
95 |
78 |
$2K |
| D1208 |
|
195 |
192 |
$2K |
| D9230 |
|
96 |
76 |
$2K |
| D9999 |
|
29 |
29 |
$799.82 |
| D9612 |
|
13 |
13 |
$478.92 |